Welcome to the SSRI marriage apocalypse: a phenomenon so widespread that entire online communities have formed to support its casualties. Spouses gathering in digital refugee camps, comparing notes about partners who transformed into unrecognizable strangers after starting antidepressants.
Your Spouse Started Antidepressants and Became a Stranger Continue Reading
The era of corporate EBM is over, and the future of medicine is decentralized, N-of-1, non-corporate, non-government, person-to-person, direct primary care, based on the totality of evidence, decency, life experience, dialogue, and personal values.
Seven Philosophical Criticisms of Evidence-Based Medicine and Evidence Hierarchies Continue Reading
Germophobia isn’t generally considered a condition all by itself. Not all people with OCD are germophobes, but it’s much safer to say that most, if not all, germophobes are further along the OCD spectrum than most.
For years, I have trained residents and students to perform brain death exams. I’ve overseen transplants. I’ve supported grieving families and celebrated recipients. But I’ve also seen the slow erosion of principle under pressure. It’s time to draw a line.
The Moral Cost of Modern Transplant Medicine Continue Reading
The Ninth Circuit has abdicated its power and authority to hold public servants accountable. When the courts cannot be relied upon to hold public servants accountable, who can? And where does that leave us?
The Ninth Circuit Rules—Court-Sanctioned Authoritarianism? Continue Reading
Autism is advertised as a natural divergence. Autism is attributed to a range of causes, from childhood vaccination to the impersonal routines of metropolitan societies. Yet we do not know what autism is.
Medicine must learn to operate in a VUCA (Volatility, Uncertainty, Complexity, and Ambiguity) world. The recognition of the importance of this is beginning, but it must be added to the clinical competencies at every step in the education of health professionals.
Embracing Ambiguity and Outliers in a VUCA World Continue Reading
Dr. Feeley’s voice may be silent now, but what he stood for must continue to be heard. He recognised the true human cost, in relationships strained or severed, in connections broken, and in communities turning on themselves.
The focus of this essay is the philosophical position that, in the case of public health, it is acceptable to mandate that members of society accept a medical treatment without granting personal informed consent, justified as necessary.
If “dead enough” becomes a metric, the countdown has already started—not just for the patient, but for our collective faith in medicine’s ability to serve something higher than its own efficiency.
While relief matters deeply for those who need it, we should be wary of the growing trend to over-medicalise women’s health—turning a normal biological transition into a lifelong pharmaceutical dependency.
In this light, healthy vaccinee bias becomes the least concerning explanation. It offers a familiar, unintentional source of error. But rejecting it leaves us confronting the specter of contaminated science—exactly what Secretary Kennedy warned about.
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